The Incident Analysis Team has identified a number of issues that were raised either during or after the response. Each issue has been examined in detail using a range of available information sources to ascertain its veracity. Based on this examination a series of conclusions and recommendations are presented.
Links
[1] https://www.amsa.gov.au/file/2417/download?token=6EpumZY5
[2] https://www.amsa.gov.au/file/2416/download?token=Zvhy4E9N